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NPI Code Detail

MEDICARE: THE ROGERS CLINIC

MEDICARE: THE ROGERS CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1548315971
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ROGERS CLINIC
Provider Business Mailing Address
First Line : 727 E WYANDOTTE AVE
Second Line :
City : MCALESTER
State : OK
Zip : 74501-5427
Country : US
Telephone Number : 918-423-5599
Fax Number : 918-423-5563
Provider Business Practice Location Address
First Line : 727 E WYANDOTTE AVE
Second Line :
City : MCALESTER
State : OK
Zip : 74501-5427
Country : US
Telephone Number : 918-423-5599
Fax Number : 918-423-5563
Authorized Official
Title or Position : DOCTOR
Name : GREGORY ROGERS
Credential : DO
Telephone Number : 918-423-5599
Provider Enumeration Date : 01/24/2007
Last Update Date : 10/05/2007

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Directions to “THE ROGERS CLINIC ” Practice Location

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